State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2012 Election Year

Candidate or Committee Name
DOUG SKAFF, JR.
Candidate or Committee's Treasurer
STEPHEN HASTINGS
Political Party (for candidates)
Democrat
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 11070  
Office Sought (for Candidates)
House of Delegates
District/Division
35
City, State, Zip Code
CHARLESTON, WV 
Daytime Phone #
3044144350

Election Cycle Reporting Period (check one):

 X 
Primary - First Report
Due Mar 31-Apr 06, 2012Mar 31-Apr 06, 2012
    
Pre-primary Report
Due Apr 23-Apr 27, 2012Apr 23-Apr 27, 2012
    
Post-primary Report
Due May 21-Jun 19, 2012May 21-Jun 19, 2012
    
General - First Report
Due Sep 24-Sep 28, 2012Sep 24-Sep 28, 2012
    
Pre-general Report
Due Oct 22-Oct 26, 2012Oct 22-Oct 26, 2012
    
Post-general Report
Due Nov 19-Dec 19, 2012Nov 19-Dec 19, 2012

Check if Applicable:

    
Amended Report
You must also check box of appropriate reporting period
    
Final Report
Zero balance required.
PAC must also file Form F-6 Dissolution

Non-Election Cycle Reporting Period:

    
Annual Report 2012 Calendar Year
Due last Saturday in March or within 6 days thereafter

Report Totals

Fill in totals at the completion of the report.

RECEIPTS OF FUNDS: Totals for this Period
Contributions  $11,710.00
Monetary Contributions from all Fund-Raising Events +$17,845.00
Receipt of a Transfer of Excess Funds +$4,476.69
Total Monetary Contributions: =$34,031.69
In-Kind Contributions +$0.00
Total Contributions: =$34,031.69
 
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$0.00
Total Debts: =$0.00
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$34,031.69
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $0.00
Total Monetary Contributions +$34,031.69
Total Other Income +$0.00
Subtotal: a. =$34,031.69
 
Total Expenditures Paid  $12,218.95
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$12,218.95
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$21,812.74
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$12,218.95

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/15/2012Nicholas Cassis$100.00
3/21/2012Sami Ghareeb$100.00
3/24/2012Jane Turner$50.00
3/18/2012Georgiana Michael$100.00
2/27/2012Caremark RX Inc, Employees PAC$150.00
3/10/2012Thekla Lund$25.00
3/17/2012Cary Levenson$150.00
1/25/2012AT&T Inc. Federal PAC$250.00
1/17/2012Brandon Woodrum$150.00
11/21/2011Exxon Mobil Corp. PAC$250.00
11/20/2011Dwayne Durn$200.00
8/26/2011Merck Employees PAC$200.00
12/1/2011WAL-PAC$100.00
3/21/2012Building and Construction Trades$250.00
 Subtotal of contributions of $250.00 or less$2,075.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/15/2012 Full Name:  AFT - West Virginia
Address:  Resident
1610 Washington Street, East
Charleston, WV 25311

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Teachers Labor
$1,000.00
8/19/2011 Full Name:  David Workman
Address:  Resident
38 Spring Street
Cambridge, MA 02141

Contributor's Job: (individual contributor only)  Sales Manager
Where Contributor Works: (individual contributor only)  Lane Furniture
Affiliation: (political committee only) 
$310.00
9/7/2011 Full Name:  John David Hayes
Address:  Resident
3110 MacCorkle Avenue, SE
Charleston, WV 25304

Contributor's Job: (individual contributor only)  Physician
Where Contributor Works: (individual contributor only)  CAMC
Affiliation: (political committee only) 
$315.00
7/20/2011 Full Name:  WV Appalachian Laborer’s
Address:  Resident
One Union Square, Suite 5
Charleston, WV 25302

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Labor
$1,000.00
7/24/2011 Full Name:  Daniel Hall
Address:  Resident
P.O. Box 339
Oceana, WV 24870

Contributor's Job: (individual contributor only)  Insurance Adjuster
Where Contributor Works: (individual contributor only)  Nationwide
Affiliation: (political committee only) 
$310.00
7/22/2011 Full Name:  William Betz
Address:  Resident
PO. Box 1640
Pt. Pleasant Beach, NJ 08742

Contributor's Job: (individual contributor only)  Manager
Where Contributor Works: (individual contributor only)  LSI Logic
Affiliation: (political committee only) 
$310.00
7/24/2011 Full Name:  Joshua Stowers
Address:  Resident
4293 Coal River Rd.
Alum Creek, WV 25003

Contributor's Job: (individual contributor only)  Principal
Where Contributor Works: (individual contributor only)  Kanawha Board of Education
Affiliation: (political committee only) 
$310.00
7/23/2011 Full Name:  Rick Robrecht
Address:  Resident
34 Faircrest Drive
Wheeling, WV 26003

Contributor's Job: (individual contributor only)  Unemployed
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only) 
$310.00
1/13/2011 Full Name:  Dwayne Durn
Address:  Resident
1459 Iron Street
Bethlehem, PA 18018

Contributor's Job: (individual contributor only)  Internal Auditor
Where Contributor Works: (individual contributor only)  Instinet
Affiliation: (political committee only) 
$300.00
1/25/2012 Full Name:  AEP Comm. for Responsible Gov’t
Address:  Resident
1122 Seventh Avenue
Huntington, WV 25701

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Energy
$1,000.00
3/14/2012 Full Name:  William Tracy
Address:  Resident
1547 Clark Road
Charleston, WV 25314

Contributor's Job: (individual contributor only)  Mechanic Manager
Where Contributor Works: (individual contributor only)  Toyota
Affiliation: (political committee only) 
$300.00
3/14/2012 Full Name:  Sandra Sprouse
Address:  Resident
96 Willowood Circle
Hurrican, WV 25526

Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only) 
$500.00
3/12/2012 Full Name:  Dominion PAC
Address:  Resident
One James River Plaza, 20th Floor
Richmond, VA 23261

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Natural Resources
$1,000.00
3/15/2012 Full Name:  Rena Katz
Address:  Resident
1500 Washington St., Apt. 4C
Hoboken, NJ 07030

Contributor's Job: (individual contributor only)  Marketing Agent
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$920.00
3/15/2012 Full Name:  FirstEnergy PAC
Address:  Resident
76 S. Main Street
Akron, OH 44308

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Energy
$500.00
3/29/2012 Full Name:  West Virginia Banking Assoc.
Address:  Resident
1200 Washington Street, East
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Banking
$500.00
3/19/2012 Full Name:  United Mine Workers of America
Address:  Resident
18354 Quantico Gateway Drive
Suite 200
Triangle, VA 22172

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Labor
$750.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$9,635.00
$2,075.00
$11,710.00

Fund-Raising Events

All monetary contributions received at a fundraiser must be reported in the Event Summary below.
If contributor's name and amount are not listed, the contribution must be turned over to the West Virginia General Revenue Fund. The only exception to this rule may apply to political party executive committees. (WV Code 3-8-5a).

Vandalia Fundraiser Event Summary

Date of Event: 3/13/2012 Total Monetary Contributions:  $17,845.00
Type of Event: Candidate Reception Total Expenditures: -$0.00
Name of Place Held: Vandalia Grille NET RECEIPTS: =$17,845.00
Address of Place Held: 212 Hale Street
Charleston, WV 25301
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
3/13/2012Brent Hall$10.00
3/13/2012Marie Cassis$20.00
3/13/2012Bethany Knowles$20.00
3/13/2012Becky Ofiesh$25.00
3/13/2012Tom Dooley$25.00
3/13/2012Mary Dooley$25.00
3/13/2012Moses Zegeer$25.00
3/13/2012Rudi Raynes$25.00
3/13/2012John Feazelle$25.00
3/13/2012Robert Anderson$50.00
3/13/2012Raymona Kinneberg$50.00
3/13/2012C. Hudson-Rider$50.00
3/13/2012Peggy Sampson$50.00
3/13/2012Andrew Bernstein$50.00
3/13/2012Orphy Klempa$50.00
3/13/2012Karen Huffman$50.00
3/13/2012James Sorrent$50.00
3/13/2012Amy Rothman$75.00
3/13/2012Dorothy Chapman$100.00
3/13/2012Robert Ryan$100.00
3/13/2012Janet Vineyard$100.00
3/13/2012Marisa Pedro$100.00
3/13/2012Dan Taylor$100.00
3/13/2012Richard Howard$100.00
3/13/2012Edward Howard$100.00
3/13/2012Friends of Dan Poling$100.00
3/13/2012Friends of Randy Swartzmiller$100.00
3/13/2012David Hendrickson$100.00
3/13/2012M. L. Harmon$100.00
3/13/2012Raymond Dodson$100.00
3/13/2012David Stern$100.00
3/13/2012Thomas Vogel$100.00
3/13/2012Laura Jordan$100.00
3/13/2012Jennifer Jackfert$100.00
3/13/2012Loretta Haddy$100.00
3/13/2012Agnes Cassis$100.00
3/13/2012Gail Feazelle$125.00
3/13/2012Joe Gollehon$150.00
3/13/2012George Bsharah$150.00
3/13/2012Committee to Elect Mike Hall$150.00
3/13/2012Edward Rothman$175.00
3/13/2012David Cassis$200.00
3/13/2012WV OMEGA PAC$200.00
3/13/2012Lorena Ammar$200.00
3/13/2012James Linsenmeyer$200.00
3/13/2012Leela Patel$200.00
3/13/2012Andy Teeter$200.00
3/13/2012WV Trucking Association$200.00
3/13/2012Chiropractors Independent PAC$200.00
3/13/2012Debbie Mougaes$200.00
3/13/2012Debra Hardesty$250.00
3/13/2012E.L. Robinson$250.00
3/13/2012Philip Reale$250.00
3/13/2012Joseph Bunn$250.00
3/13/2012WV Hospitality and Travel Association$250.00
3/13/2012Lee Lewis$250.00
3/13/2012Tony Odell$250.00
3/13/2012William Tiano$250.00
3/13/2012Philip Michael$250.00
3/13/2012Stephen Cassis$250.00
3/13/2012J&K State Legislative PAC$250.00
3/13/2012West Virginians For Coal$250.00
3/13/2012West Virginia CAR$250.00
3/13/2012Robby Berthold$50.00
3/13/2012Matt Rucker$40.00
3/13/2012Chris Morris$50.00
3/13/2012Val Taylor$30.00
3/13/2012Rebecca St. Jean$100.00
 Subtotal of event contributions of less than $250.00 $8,545.00

More than $250

DATE AMOUNT
3/13/2012 Full Name:  Essa Howard
Address:  Resident
704 Ellette Drive
Charleston, WV 25311

Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$300.00
3/13/2012 Full Name:  Timothy Bailey
Address:  Resident
213 Hale Street
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$500.00
3/13/2012 Full Name:  Donald Carter, Jr.
Address:  Resident
105 Steiner Drive
Charleston, WV 25302

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Bucci Bailey & Javins, LC
Affiliation: (political committee only) 
$500.00
3/13/2012 Full Name:  Guy Bucci
Address:  Resident
213 Hale Street
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$500.00
3/13/2012 Full Name:  Douglas Skaff
Address:  Resident
2809 Ranch Road
South Charleston, WV 25303

Contributor's Job: (individual contributor only)  Developer
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/13/2012 Full Name:  Maryann Skaff
Address:  Resident
2809 Ranch Road
South Charleston, WV 25303

Contributor's Job: (individual contributor only)  Dental Assistant
Where Contributor Works: (individual contributor only)  David Skaff Dentist
Affiliation: (political committee only) 
$1,000.00
3/13/2012 Full Name:  Byron Black
Address:  Resident
1215 Virginia Street, East
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Dentist
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/13/2012 Full Name:  Robert Berthold, Jr.
Address:  Resident
208 Capitol Street
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/13/2012 Full Name:  Marvin Masters
Address:  Resident
181 Summers Street
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/13/2012 Full Name:  Alex Skaff
Address:  Resident
765 Lower Donnally Road
Charleston, WV 25304

Contributor's Job: (individual contributor only)  Dentist
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/13/2012 Full Name:  West Virginia AFL-CIO Cope
Address:  Resident
501 Leon Sullivan Way
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Labor
$1,000.00
3/13/2012 Full Name:  Lee Allen
Address:  Resident
303 Georgetown Circle
Charleston, WV 25314

Contributor's Job: (individual contributor only)  Oral Surgeon
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$500.00
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 
$9,300.00
$8,545.00
$17,845.00

Other Income: Interest, Refunds, Miscellaneous Receipts

DateSource of IncomeType of ReceiptAmount
  Total Other Income: $0.00

In-Kind Contributions

DateName and Contributor InformationDescription of ContributionValue
  Total In-Kind Contributions: $0

Loans

West Virginia Code: §3-8-5f. Loans to candidates, organizations or persons for election purposes.

"Every candidate, financial agent, person or association of persons or organization advocating or opposing the nomination or election of any candidate or the passage or defeat of any issue or item to be voted upon may not receive any money or any other thing of value toward election expenses except from the candidate, his or her spouse or a lending institution. All loans shall be evidenced by a written agreement executed by the lender, whether the candidate, his or her spouse, or the lending institution. Such agreement shall state the date and amount of the loan, the terms, including interest and repayment schedule, and a description of the collateral, if any, and the full names and addresses of all parties to the agreement. A copy of the agreement shall be filed with the financial statement next required after the loan is executed."

The loan agreement must include all items asked for in the statute. (See above.) The loan agreement does not have to follow a certain format; generally, if all the required information is listed, any format is acceptable. Candidates or political committees that take out a loan for the campaign through a bank or other commercial lending institution must include a copy of the loan agreement executed with that bank or institution. Candidates should not take out loans which are partially for personal use and partially for the campaign. It is almost impossible to keep reporting straight in this case. Any money a candidate contributes to his or her campaign committee with the hope of repayment must be treated as a loan and reported in this section. When a candidate determines that no further repayment can be expected, the loan can be reported as repaid in this section by entering the amount left to repay in the repayments column and reporting the same amount as a contribution from the candidate on Page 2. These loans must be executed in writing. Caution: Candidates may not carry outstanding loans from one campaign to the next. Each campaign is separate. Funds from a current campaign cannot be used to repay a loan from a previous campaign.

How To Report Loans

  1. Each loan for your campaign should be listed on a separate line. (Each time you loan money to the campaign or get a loan, it is considered to be a separate loan.) Include the following information ont he form below.
    1. loans(s) from prior reporting periods and the balance of each loan (Col A.) If a payment was made on the loan, list that in Col. C. Any loan that was repaid in previous reporting periods does not need to be listed.
    2. new loans, the amount (Col. B), any repayments (Col. C), and the balance (Col. D.)
  2. Attach a copy of the loan agreement for each loan received during the reporting period.

Loans (Continued)

Bank Loans: List name & address or financial institution
Candidate or Candidate's Spouse Loans: List name, residence and mailing address of person(s) making or cosigning loan
Column A
Balance of previous loan at end of period
Column B
Amount of new loan received during period
Column C
Repayments during period
Column D
Balance outstanding at end of period
Amount Date Amount Date Amount Amount
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $0.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
3/28/2012 TGraphics
312 Buchanan Street
Charleston, WV 25302
Promotional Materials$1,998.10
3/19/2012 Inside Out Creative
P.O. Box 2821
Charleston, WV 25330
Promotional Materials$763.73
3/19/2012 Inside Out Creative
P.O. Box 2821
Charleston, WV 25330
Promotional Design$458.00
8/22/2011 Inside Out Creative
P.O. Box 2821
Charleston, WV 25330
Promotional Materials$772.53
9/12/2011 Inside Out Creative
P.O. Box 2821
Charleston, WV 25330
Promotional Materials$200.89
10/1/2011 West Virginians for Life Convention
25 Canyon Road
Morgantown, WV 26508
Advertising$150.00
11/15/2011 Brent Boggs for House
Bldg. 1, Room 226 M
Charleston, WV 25305
Sponsorship$100.00
2/2/2012 Inside Out Creative
P.O. Box 2821
Charleston, WV 25330
Advertising$90.10
1/30/2012 Remember the Miners.org
P.O. Box 330
Morgantown, WV 26507
Sponsorship$300.00
2/2/2012 Kanawha Valley Advertising Company
1509 Hansford Street
Charleston, WV 25311
Advertising$2,452.60
3/10/2012 Kanawha Valley Advertising Company
1509 Hansford Street
Charleston, WV 25311
Advertising Expense$3,432.40
2/17/2012 Inside Out Creative
P.O. Box 2821
Charleston, WV 25330
Advertising Materials$249.10
5/31/2011 Charleston Newspapers
P.O. Box 2993
Charleston, WV 25330
Advertising Expense$951.50
4/25/2011 Rick Thompson for West Virginia
Room 228M, Bldg. 1,
Charleston, WV 25305
Contribution$300.00
  Total Expenditures: $12,218.95

Receipt of a Transfer of Excess Funds

DateCandidate Committee Name and YearAmount
4/1/2011Doug Skaff for House Campaign$4,476.69
 Total Receipts of Transfer of Excess Funds: $4,476.69

Disbursement of Excess Funds

DateName of candidate committee and election year disbursing excess fundsPurpose of DisbursementAmount
  Total Disbursement of Excess Funds: $0

Unpaid Bills

DateGroup or Firm AffiliationPurposeAmount
  Total Unpaid Bills: $0.00

Office Use Only
Filed With West Virginia Secretary of State
Friday, April 6, 2012 2:14:54 PM